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Guide Jaw and midface surgeries and basic cuts ( TLDR version )

Nihilus

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maxilla :

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mandible :
1Rrd7Vw.jpg
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lefort 1-3 :
1714126682542.png



modified lefort 3 is basically lefort 3 minus the lefort 1 area


bsso and ivro :
1714126734502.png 1714126822602.png
3iSp7an.jpg



these are the basic cuts. you can just cut the maxilla or mandibular or do both at the same time (double jaw surgery).

since a maxilla or mandible can be recessed despite having a fine bite you can get jaw surgery with a fine bite (even though it might be necessary to "create" an over/bite before surgery in some cases through distraction or implants).
you can move the jaw forward, backward and you can even rotate (clockwise or counterclockwise) them

lQnG3IH.jpg
1714128006198.png

basically:
clockwise rotation = occlusal plane (angle) becomes higher (more vertical)
counter clockwise rotation = occlusal plane (angle) becomes lower (more horizontal)

N0H5fAD.png

zygomatic sandwich osteotomy:
(big difference to a modified lefort 3 - cant make your zygos more project since it only moves the bone more to the "side")
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jaw (angle) reduction surgery :

YhKgM6q.jpg
1714127353567.png



genioplasty:
qogwk9A.jpg
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chin wing

HK7QWyp.png
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clockwise rotation = occlusal plane (angle) becomes higher (more vertical)
counter clockwise rotation = occlusal plane (angle) becomes lower (more horizontal)
so basically people can fix their gonial angles with this? sweet
jaw (angle) reduction surgery :
this surgery will defo feminize your jaw, but if its too big then it can work to help fix the proportions

good thread, covers the surgeries relating to the face
nah im thinking about the nerve damage and the pain from these tho it kinda hurts to look at 💀
zygomatic sandwich osteotomy
also what is the purpose for this one? for people with long faces?
 
what are the best surgeries for better zygos

trying to get the rosy cheek nordic look and make my lower cheeks look less saggy
 
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  • #11
what are the best surgeries for better zygos

trying to get the rosy cheek nordic look and make my lower cheeks look less saggy
you want them wider , more forwardly projected or higher set ?
 
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  • #13
unsure, im thinkin forward though
if you want more forward projection then implants ( affordable tbh (but not in US)) or lefort III - I ( invasive wont recommend )
 

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